KPHE Membership Form

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KPHE Membership Application

DIRECTORY INFORMATION

Are you a new or returning member?

New Member. Returning Member.

Parents First Names

Please enter both parents first names.

Last Name

Please enter your last name.

Address

City

County

Zip

Phone Number

Email

Confirm

I use the following curriculum:

ie. Abeka, Sonlight, Teaching Text books for Math, etc.

I am / will be a member of Christian Home Educators of WV (CHEWV) - the state home schooling organization.

I am a member. I will be a member. No response.

1. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more homeschooled children.

2. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more children.

3. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more children.

4. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more children.

5. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more children.

6. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

Do you have more homeschooled children?

Yes, I have more children.

7. Child / Student Name

Age

Grade

Use 0 for Kindergarten or Pre-Kindergarten.

How long have you been home schooling:

KPHE is a volunteer organization; list any activities you would be willing to provide assistance with if called upon.

Also, list any suggestions for field trips, activities, support group meetings, etc.

Do you wish to have your contact info in the directory?

Publish this info. DO NOT publish this info.

Code of Conduct

Parents are not only responsible for their children's education, but also for their conduct in group situations, exhibiting respect for other people and their property. While attending KPHE functions all persons should dress appropriately, shorts should be no more than 4" above the knee when standing, no sleeveless shirts or tops, and no midriffs or cleavage showing. I understand that after two (2) warnings about improper conduct, or improper apparel, my child may be asked to leave the activity he / she is participating in for the year. My completion of this form indicates that I have read and understand this code of conduct.

I agree to the Code of Conduct

I Agree

Date

Clicking the submit button will allow you to sumbit payment via paypal or a credit/debit card. Membership is $20.00 per family per year (September - August).